Organization
INTERACTIVE KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE MICSKO (BEHAVIOR CONSULTANT)
(856) 397-7620
Entity
Organization
Contact information
Practice address
3002 LINCOLN DR W, MARLTON, NJ 08053-1527
(856) 810-7599
Mailing address
3002 LINCOLN DR W, MARLTON, NJ 08053-1527
(856) 810-7599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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